HomeMy Public PortalAbout5009 DOREEN AVE_Building__ A ROAD DEPT. PEn,%lVT IS REQUIRED
FOR ANY MATERIEL ST:)r;AG- G WORK
DONE IN THE ROAD RIGHT OF WAY.
APPLICATION FOR BUILDING PERMIT 1.
COUNTY OF LOS ANGELES BUILDING �-0,1) ��lMlrvtirJ ��
DEPARTMENT OF COUNTY ENGINEER ADDRESS l`
BUILDING AND SAFETY DMSION LOCALITY` /?iv✓�i l� (�Nc c/�•
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST,
DISTRICT NO. GROUP TYPEPROCESSED BY
'.FOR APPLICANT TO FILL IN K �— CONST.
BUILDING C /'� STATISTICAL CLASSIFICATION SEWER ! AP
ADDRESS .)_CCS�i �//i)J(2?a n . - CLASS.NO�.6, ELL. UNITS K_ ,�G
LOT NO.t&fO / K.- / ''CCK MAP �� >/� HWYE
R YES NO_
NUMBE
TRACT USE ZONE SPECIAL
NO.OF SLOGS. CONDITIONS
SIZE OF LOT 1-rc/X - I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
����// ���� '7 y' D -_ ' SETBACK YARD HWY STREET NAME /WIDTH
OWNER lf/, /1/MAIL �7\�/n tp.C//q (/��_,., FROLd
NT
ADDRESS /.�e:l U /n/0 '�l�,/iCxu:e Y�.I- E;; SIDE -
t� X� l.(lLl� TEL.Z y�•
clry o.....•-!J No. i/ (J INSPECTION RECORD
ARCHITECT DRY /. TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
Sq. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE )
SIGNATURE OF
APPLICANT APPROVALS DATE .INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS, MATERIALS
VALUATIONS FRAME: FIRE STOPS.
BRACING,BOLTS
P.C. PMT. OV FURNACE: LOCATION,
FEE $ I FEE E '�� I GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 3 .�(-L.LO �-•-L•.�_ -
STATE LAWS REGULATING BUILDING! CONSTRUCTION. LATH.EXT.
SIGNATURE OF h _.!n'r� /' HOUSE NUMBER COR-
PERMITTE ' 1' (I%}�./�)i+1J //,fI RECT AND POSTED
ADDRESS Pg (—i^ �"'^"�', rte^ •' FINAL
V CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL
PLAN CHECK VALIDATION GK. ASM PERMIT VALIDATION GK. M.O. GASM
LAGO 7 8 5 9 iM 1 '7 1 A 3.0 0 p®,
A ROAD DEPT. PE^:;{IT IS REQUIRED
FOR ANI' PAATEP-U,L STCRACE OR WORK
1' DONE IN THE ROAD F.,3HT OF WAY.
,,.,,•AGEa,o,. APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBUILDING }
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENG[NEER NEAREST ,
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TypE A I_P-FyOC SSED BY
FOR APPLICANT TO FILI IN CONST
BUILDING �f q. STATISTICAL CLASSIFICATION S vVER MAP
ADDRESS CLASS.NO.�DWELL.UNITS — J-BK + Phi
/-/ -/) +/7
LOTNO. _ BY i B O K MAP STATE YES NO
NUMBER HWY
TRACT USE ZONE I SPEC AL / / aR-
NO. O
OF BLDGS. I CONDITIONS J(PI1 &V (1/jy Off'
SIZE OF LOT IW No
USE OF
EXISTING BLDG. BUILDING EXIST.
SETBACK YARD HW Y STREET NAME WIDTH
OWNER FRONT r�111'I
MAIL _ P.L. i(�(/
ADDRESS SIDE
TEL.
CITY
4571 _ 4 - NO. INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER —NO. '
•IM /_ _e
ADDRESS /L
CONTRACTOR
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE J .. .
SIGNATURE OF
APPLICANT /
APPROVALS DATE INSPECTOR SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS. MATERIALS CL9
VALUATION $ S O O FRAME: FIRE STOPS,
BRACING.BOLTS
P.C. PMT. 00 FURNACE: LOCATION,
FEE S I FEE S — I GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE CORRECT ANO
AGREE TO COMP.Y WITH ALL COUNTY INANCES AND
STATE LAWS G TING QUILDI CONSTRUCTION. LATH.EXT.
SIGNATURE ///(w/, HOUSE NUMBER COR--
PERMITTE RECT AND POSTED
ADDRESS NAL �C C C I l -r
_ CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL E R
PLAN CHECK VALIDATION cASR PERMIT VALIDATION' CK. Wo. CASK .
ll// 57760 NJ28 i A 3.00 � ®;
d_.
`Y COUNTY OF LOS ANGELES TEMPLE CITY At 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0210030040
PHONE: (626) 285-0488 EXT:
L N0. OF CONST NEW BUILDINGADDRESS;
-
TR: 11290 LT: 13 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5009 DOREEN AV '
STRUCTURE: 135 1 VN R3 TEMP CA 917803473
ASSESSOR IN0 M NNUMBER: GARAGE: NEAREST.CROSS STREET: KEY WESTt,
8585-023-057 OTHER: THOMAS PAGE: 597 'GRID: C4' LOCALITY: TEMPLE'CITY
TENANT: XIS L G USE: USE ZOWE-- SSU 0 : PROCESSED BY: EXPIRES O :
EXIST OCC GRP: 10/07/02 JK 04/05/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: CODE:
SOTO (626) 443-0275- 7,000
5009 DOREEN AVE I; ( �~ O�
TEMPLE CITY 91780 FEES PAID DES- I-6TTCN-OF WOR
ADD LAUNDRY RM 8 BATHROOM
fEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APP N L. 0:
SHAHRIAR;MAHORI (818) 506-6671- AA BLDG PERMIT ISSUANCE 27.75
5437 LAUREL CANYON AC STRONG MOTION RESID 7000.00 VAL 0.70 SP C1AL ONDITION-S:
VALLEY VILLAGE 91607 AX BUILDING REVIEWCFEE77 v 54.70
B2 PERMIT W/ENEERRGYGE. A7000EES I—L 182.82
265.97
CONTRACTOR: TEL. NO: /OCj APPROVALS DATE INSPECTOR SIGNATOR
PROFESSIONAL BUILDERS AND (888) 634-4477-
REMODELING INC LIC. NO LOCATION N SETBACKS
5322 WILSHIRE BLVD, STE 200 800769 B
LOS ANGELES, CA 90036 / SOILS ENGINEER APPROVAL
A C I C OR ILL. N0: e F A N TRE CH ORMS O 2
LIC. NO- SLAB/UND R FLOOR i
LJ '1 kATSEB-T00 FRAMING
MAP 0: SEWER MAP BOOK.- PAGE: FIRE ZONELD
: CMP,: UNDERFLO R INSULATION /• /! c
ul � �L VuJ C ��J���L+U �J� S LEVEL FLOOR SHUM
+
N0. 0 FAMILIES: DWELLING UNI S: APT/CON : STAT CLASS:-
NO
LAS NO 21
ND LEVEL FLOOR SHEATH
SCHOOL WITHIN AZARDOUS 12 oSHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO +�' ' FIRE DEPT. FRAME INSPECT
A n�� u
SET BACK YARD: HWY:REQUIRED TO APROP LINE:FRO EXIST WIDTH: G6/jC J 4�OK� NLUG OUT— RA INSPECT
FRONT PL- Service yha SHEAR PANELS
SIDE PL- L
-
STW-U M/WEATH 1INTERIOR-LATH/DRYWALL
EXTERIOR LA
H
2 .Z
LOT DRAINAGE
SMOKEDETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508 .�
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 _ BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BE 0508 0707130014
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS:
ITR: 11290 LT: 13 BE: .001 SQ. FT STORIES TYPE 5009 DOREEN AV
ISTRUCTURE: VN TEMP CA 917803473
(ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: KEY WEST
18585-023-057 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: REBID USE ZONE: Al TISSUED ON: PROCESSED BY: E%PIRES ON: 1
IEXIST OCC GRP: 107/13/07 SR 01/09/08
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT F.WAL BY: -CODE:
I I I
ISOTO, FAUSTO (626) 443-0275- 1 500 1 EXPIRED
15009 DOREEN AVE. - t '1..{ry-1
ITEMPLE CITY CA 91780 1 FEES PAID IDESCRIPTION OF WORK I
I (OVERHANG ROOF AT ENTRY TO PORCH AND CHANGE A SLOPE TO GABLE
IFEE DESCRIPTION: QUANTITY: QOM: AMOUNT:IROOF
1APPLICANT: TEL. N0: T
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1
IAC STRONG MOTION REBID 500.00 VAL 0.50 SPECIAL CONDITIONS:
TAX BUILDING REVIEW FEE 54.70 1
ID2 PERMIT W/O EN-HC 500.00 VAL 43.65 1 I
TOTAL.FEES 126.60 1
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO (LOCATION AND SETBACKS
ISOILS ENGINEER APPROVAL
I I
ARCHITECT OR ENGINEER: TEL. NO: (FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
1 I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 1UNDERFLOOR INSOLATION I I I
1147H273 3 ( 61I ' I 1
- I - IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:, I I
NO 21 . 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS _ I (SHEAR PANELS
1AIR QUALITY: 1000 FEET MATERIALS I II
NO NO NO FRAME INSPECTION
1
(REQUIRED TOTAL SETBACK FROM EXIST - FIRE.SPRINKLER HANGERS
ISET BACK YARD: HWY: PROP LINE: WIDTH: I i
IFRONT PL- (INSULATION/WEATHER STRIPI I
I SIDE PL-
ANTERIOR LATH/DRYWALL
IEXTERIOR LATH I I
V RATED,FIOOR/CELL ASSEM.
RATED WALL ASSEMBLIES I
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
1 1 1 LOT DPT+INAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 {